NPI | 1073932950 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA LOUISE RIERSON Owner/Operator 620-241-7943 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KS B059006) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2014-04-08 |